Laserfiche WebLink
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 700-010.36 <br /> CERTIFICATION OF SUBLET WORK CONSTRUC101 077 <br /> TO: THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Page 1 of 2 <br /> Date : 9/08/2010 General Info Melvin Bush Construction , Inc <br /> Request No . : Prime Contractor Contractor <br /> FAP No . : FM 420339- 1 -58-01 Melvin Bush Construction , Inc By . <br /> Fin . ID : F . E . I . D . # IF CORPORATION , AFFIX SEAL <br /> Cont . No No . : <br /> County:INDIAN RIVER 59-2950620 2748 SW Casella Street <br /> Address <br /> Total Contract Amount <br /> Total Work Port St . Lucie , FL 34953 <br /> $31 , 636 . 81 <br /> Total Amt o <br /> s Subcontractor Name ;- FEID # Subcontract to Whom <br /> Work DescriptionSublet o z <br /> C CL Q <br /> asteller, Moler, Reed & Taylor 1 Melvin Bush Construction Professional Services 11000 . 00 N <br /> Signal Group 1 Vielvin Bush Construction Traffic Signals 71787 . 50 N <br /> True Lines , Inc Vlelvin Bush Construction Striping 11250 . 00 N <br /> 0 . 00 <br /> 0 . 00 <br /> 0. 00 <br /> 0 . 00 FJ <br /> All pertinent provisions and requirements of the prime contract including but not limited to Required Contract Total 10 <br />, 037 . 5 <br /> Provisions Federal-Aid Construction Contracts (FHWA-1273) and Special Provisions - Specific Equal Opportunity <br /> Responsibilities (Per 23 CFR-6336 of Federal-Aid Policy Guide) will be part of the subcontract. It is agreed that an State of Florida <br /> Executed or a certified copy of the subcontract will be submitted upon request, to the State of Florida Department of County of ST. LUCIE <br /> Transportation. All sublets will be in continued compliance with all Contract provisions and that the Contractor will <br /> continue to perform the minimum percentage of Contract work with its own organization , as required by said Sworn to and subscribed before <br /> me this 8th day <br /> Contract. It is recognized and agreed that, as prime contractor, the undersigned remains responsible for the proper of September 2010 b <br /> Melvin Bush <br /> pertormance of all requirements of said contract does not relieve or release the undersigned and his surety or either y <br /> of them of any liability under the contract bond . The Contractor shall send a copy of this form to the subcontractor/ � (Print <br /> name of person signing Certification) <br /> subordinate (with a copy of FHWA-1273 on Federal-Aid Projects) and the Surety Company. The Prime certify that ! <br /> firms or individuals, debarred or suspended by the FHWA or the Department, are not being used as subcontractors. AtE OF FLORIDA <br /> Mary P615Mary E. Oehler <br /> A false statement or omission made in connection with this certification is sufficient cause for suspension, S10n # DD$02112 <br /> revocation, or denial of qualification to bid , and a determination of non-responsibility, and may subject the person Commission EXpir • <br /> wpm: AUG. 14, 2012 <br /> and/or entity making the false statement to any and all civil and criminal penalties available pursuant to applicable Personally KnIJ10 ''HRIIO 190WA <br /> dentification <br /> Federal and State Law. <br /> Type of Identification Produced <br />